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1801220637
LARA MADDOX
FAIRBANKS, AK
NPI
1801220637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
-- LARA MADDOX
805 AIRPORT WAY
FAIRBANKS, AK 99701-6039
Phone number: 907-456-8901
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Mailing Address
-- LARA MADDOX
805 AIRPORT WAY
FAIRBANKS, AK 99701-6039
Phone number: 907-456-8901
Copy
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